UpStreet Camp
Location: Camp Oro Quay, NM
Date: June 9-14, 2019
Cost: $240.00 per person
A $50.00 Non-refundable deposit is due at registration.

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Email *
Parent's Name
Child's Name
Address
Phone
Date of Birth
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DD
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YYYY
Gender
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Shirt Size
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Grade
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Team Assignments
Teams are assigned by our staff. There is a two person limit to requested team mates. The staff will do their best to honor requests, but no guarantees can be made.
Team mate #1
Team mate #2
Father's Name
Father's Contact #
Mother's Name
Mother's Contact #
Family Doctor
Dr's #
Family Insurance Company
Policy #
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